Individual
SAMUEL N. CHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2505
(706) 721-1500
Mailing address
10000 BAY PINES BLVD, BLDG. 100, 4C-100, BAY PINES, FL 33744
(727) 398-6661
(727) 319-1276
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
046944
GA
Other
Enumeration date
05/18/2006
Last updated
09/23/2016
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